Individual
DARIN L NITSCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2200 SW GAGE BLVD, TOPEKA, KS 66622-9206
(785) 350-3111
Mailing address
5834 SW 28TH ST, TOPEKA, KS 66614-2419
(903) 941-1882
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
1407
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100219940C
—
KS
05
—
100219940D
—
KS
01
—
20417050
BCBS OF KANSAS CITY
KS
01
—
322231
FIRST GUARD
KS
01
—
701951
BCBS OF KS
KS
Enumeration date
11/30/2006
Last updated
09/26/2023
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